USRN QA Specialist – Utilization Management

Gratitude Philippines; Cebu City; Hybrid; PHP 609,000 - 730,000; Full time

Benefits offered by this job

Hybrid/Temporary WFH

Site options: Cebu, Davao, Clark, Tagu

Job summary

Gratitude Philippines is seeking a USRN QA Specialist with hands-on clinical, Utilization Review/Management, and quality assurance experience to strengthen accuracy, compliance, and performance across healthcare operations.

The role offers a hybrid/temporary work-from-home setup with site options in Cebu, Davao, Clark, and Taguig. Active USRN license and bedside, UM/UR, QA background required; immediate opening.

Qualifications

• Active USRN license
• 1+ year of bedside experience
• 1–2 years of BPO/CPO Utilization Review or Utilization Management
• 1+ year of QA experience
• Willingness to work shifting schedules

Responsibilities

• Review healthcare processes and transactions for quality and accuracy
• Apply clinical and UM/UR knowledge to quality evaluations
• Identify gaps, errors, and compliance risks
• Provide actionable feedback to improve performance
• Support quality and process improvement initiatives

Skills

Attention to detail

Analytical skills

Communication skills

Willing to shift

Job description

Philippines | Hybrid/Temporary WFH | Shifting | ASAP

Turn Your Clinical & UM Expertise Into Quality Impact

We’re looking for an USRN QA Specialist with hands-on clinical, Utilization Review/Management, and quality experience to help strengthen accuracy, compliance, and performance across healthcare operations.

Eligibility

• Active USRN license
• 1+ year of bedside experience
• 1–2 years of BPO/CPO Utilization Review or Utilization Management
• 1+ year of QA experience
• Strong attention to detail, analytical, and communication skills
• Willing to work shifting schedules

What You’ll Do

• Review healthcare processes and transactions for quality and accuracy
• Apply clinical and UM/UR knowledge to quality evaluations
• Identify gaps, errors, and compliance risks
• Provide actionable feedback to improve performance
• Support quality and process improvement initiatives

Why This Role?

• ₱60,000 fixed package
• Hybrid/Temporary WFH setup
• Site options across BGC Taguig, Cebu, Davao, and Clark, Pampanga
• Combine your USRN, clinical, UM/UR, and QA expertise
• Immediate opening

Ready to Make an Impact?

Ensure your CV clearly reflects your active USRN license, bedside experience, UM/UR background, and QA experience.